Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Larson, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1972853208

Shannon Larson, CNP is a Nurse Practitioner in Willmar, Minnesota. Qualified in 2012, 14 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

101 Willmar Ave SW
Willmar, MN 56201-3556
Phone: (320) 231-5000
Fax: (320) 231-5067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 — (651) 232-7800
  • 1100 E Broadway St, Redwood Falls, MN 56283-2247 — (507) 637-2985

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence CNP3193 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence R1789773 (MN)

Record details

NPI number1972853208
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 13, 2012
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address101 Willmar Ave Sw, Willmar, MN 56201-3556

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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